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SU0012540
Environmental Health - Public
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SU0012540
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Last modified
11/6/2019 9:17:22 AM
Creation date
11/6/2019 9:06:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012540
PE
2631
FACILITY_NAME
PA-1800254
STREET_NUMBER
2900
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205-
APN
14342050, 14342051, 14342053
ENTERED_DATE
9/9/2019 12:00:00 AM
SITE_LOCATION
2900 E FREMONT ST
RECEIVED_DATE
9/6/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012540 <br /> DATE RECEIVED by EHD: September 06,2019 APPL#: PA-1800254 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, September 26, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 2900 E FREMONT ST, STOCKTON APN : 14342050, 14342051, 14342053 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: c eereW IW/y,3-c�1 <br /> -,yN.te: re- ��.t� ws Laic f�/�i✓/y3_ys�s'� o�.,rd: z�ZB E �.r., f sf <br /> ^ L ,Q/�i✓�y3- y=-asZ QaG1.Ysf.- ZX38'E.���sf <br /> z Q3 Y E %rt.wr•-f a t 5�/"�L /�U.r 'f 8's/L� .%SOI. �.. J e"P4 i. ..F o•t /�r, I� <br /> ��� A'f• ��D o%r rrcJ,� dra.� c�1�tr< �Y'i�i.,� � �•, �G%. <br /> I recommend: Approval ❑ Denial F-1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A // h ck Off Li Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 09,2019 <br />
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